if you think about it, what we are already doing in this incremental way and in even one state like california doing something like that has a huge effect on the market. you can see a situation where a medicaid plan which largely would have had vulnerable hacd and that is what their provider base could potentially be competitive and certainly commonwealth care in massachusetts can argue about how competitive it is or whether that's the right thing or the wrong thing. i think what you are describing and the question of medicare for all her b.a. for all i think we are taken at a piece -- in pieces. we are spending a lot of time talking about exchanges. medicaid will outnumber, people enrolled in medicaid will outnumber people enrolled in medicare as a result of the expansion and the growing population. i hate that term but that's how we think about it. childhood adult. so i actually think what you are describing and what phil has written about this a lot further within reach, which is what scares people. anything that powerful and dramatic can be just as frightening and that is why youth see som